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1790091544
ASHLEY J JACKSON
DERBY, CT
NPI
1790091544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CT 008469)
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2010-08-30
Last Update Date
2021-09-09
Business Address
ASHLEY J JACKSON LCSW
30 ELIZABETH ST
DERBY, CT 06418-1869
Phone number: 203-954-0543
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Mailing Address
ASHLEY J JACKSON LCSW
4 CAPTAINS WATCH
SHELTON, CT 06484-5914
Phone number: 203-922-2240
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